Donald E Gullickson Iii (NPI# 1275775058, PAC ID# 2062676687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1275775058 |
| PAC ID by PECOS | 2062676687 |
| Professional Enrollment ID | I20161228001519 |
| Full Name | Donald E Gullickson Iii |
| Organization Legal Name | NORTHWEST GASTROENTEROLOGY PROFESSIONAL LLC |
| Address |
2979 Squalicum Pkwy Suite 301 Bellingham WA 98225-1813 |
| Phone Number | 3607341420 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 9335052265 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500030 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 | 3607341420 | NORTHWEST GASTROENTEROLOGY PROFESSIONAL LLC |
| Organization Legal Name | NORTHWEST GASTROENTEROLOGY PROFESSIONAL LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody L Bauer | Nurse Practitioner | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Hannah Sheinin | Internal Medicine | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Todd N Witte | Gastroenterology | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Alan G.y. Chang | Gastroenterology | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Elizabeth A Waltman | Physician Assistant | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Darla I Woolman | Physician Assistant | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Benjamin Siemanowski | Gastroenterology | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Kristina Ross | Gastroenterology | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Christoph Rainer Matthias Reitz | Gastroenterology | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Kelly D Mccullough | Gastroenterology | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Street Address |
2979 SQUALICUM PKWY SUITE 301 |
| City | BELLINGHAM |
| State | WA |
| Zip | 98225-1813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody L Bauer | Nurse Practitioner | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Hannah Sheinin | Internal Medicine | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Todd N Witte | Gastroenterology | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Jason W Dahl | Hand Surgery | Pacific Rim Orthopaedic Surgeons | 2979 Squalicum Pkwy, Suite 203, Bellingham, WA 98225-1813 |
| Alan G.y. Chang | Gastroenterology | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Christopher J Van Hofwegen | Orthopedic Surgery | Pacific Rim Orthopaedic Surgeons | 2979 Squalicum Pkwy, Suite 203, Bellingham, WA 98225-1813 |
| Frazier O Coe | Physician Assistant | Pacific Rim Orthopaedic Surgeons | 2979 Squalicum Pkwy, Suite 203, Bellingham, WA 98225-1813 |
| Rex C Liu | Advanced Heart Failure and Transplant Cardiology | Peacehealth | 2979 Squalicum Pkwy, Bellingham, WA 98225-1813 |
| Elizabeth A Waltman | Physician Assistant | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Darla I Woolman | Physician Assistant | Northwest Gastroenterology Professional LLC | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1813 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Eby | Physical Therapy | Bellingham Physical Therapy LLC | 306 36 St, Bellingham, WA 98225 |
| Fredy Paul Hunziker | Chiropractic | 3200 Northwest Ave, Bellingham, WA 98225-1318 | |
| Matthias Karl Maas | Chiropractic | 3200 Northwest Ave, Bellingham, WA 98225-1318 | |
| Geoffrey Joseph Mcallister | Podiatry | Bellingham Foot Clinic Inc Ps | 520 Birchwood Ave, Suite A, Bellingham, WA 98225-1700 |
| Nathan Larson | Podiatry | Bellingham Foot Clinic Inc Ps | 520 Birchwood Ave, Suite A, Bellingham, WA 98225-1700 |
| Richard L Skudlarick | Podiatry | Bellingham Foot Clinic Inc Ps | 520 Birchwood Ave, Bellingham, WA 98225-1700 |
| Glenn Green | Optometry | 450 Birchwood Ave, Suite B, Bellingham, WA 98225-1702 | |
| Glenna S Allbritton | Nurse Practitioner | Mount Baker Rheumatology Center Pllc | 500 Birchwood Ave C, Bellingham, WA 98225-1703 |
| Min Xu | Rheumatology | Mount Baker Rheumatology Center Pllc | 500 Birchwood Ave C, Bellingham, WA 98225-1703 |
| Jeffrey A Larson | Optometry | Mt. Baker Vision Clinc | 720 Birchwood Ave, Bellingham, WA 98225-1714 |
| Find all physicians in zip 98225 | |||
| City | BELLINGHAM |
| Zip Code | 98225 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | BELLINGHAM + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Donald E Gullickson Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.